Ultimate Lifestyle Center

NPI 1629249214 - Voluntary or Charitable - 251V00000X

NPI Details
NPI 1629249214
Enumeration Date 03/21/2008
Last Updated 08/06/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MACHA MACHA
Position CEO
Phone (323) 290-0200
Fax (323) 290-0202
Practice Location
5012 S LA BREA AVE
SUITES # 2-5
LOS ANGELES CA, 90056-1863, US
Phone (323) 290-0200
Fax (323) 290-0202
Business Location
5012 S LA BREA AVE
SUITE # 2
LOS ANGELES CA, 90056-1863, US
Phone (323) 290-0200
Fax
Toxanomy
Taxonomy Code 251V00000X
License State
License Number
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According to our database, Ultimate Lifestyle Center NPI is 1629249214, taxonomy code is 251V00000X Ultimate Lifestyle Center physically located at 5012 S La Brea Ave, Los Angeles CA, 90056-1863. NPI Number 1033115704 has the healthcare provider type.

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1629249214 NPI number is provided on an as is basis without warranty of any kind. 1629249214 is maintained by the National Plan & Provider Enumeration System. The contents of Ultimate Lifestyle Center are for informational purposes only.